Healthcare Provider Details

I. General information

NPI: 1275138141
Provider Name (Legal Business Name): LILLIAN ROSE SOLOWESZYK LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2020
Last Update Date: 07/08/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3502 MENLO DR
BALTIMORE MD
21215-3830
US

IV. Provider business mailing address

8415 SICILIANO ST
BOYNTON BEACH FL
33472-7168
US

V. Phone/Fax

Practice location:
  • Phone: 757-675-3745
  • Fax:
Mailing address:
  • Phone: 443-960-5522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number24689
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904017447
License Number StateVA
# 5
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberTPSW4593
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: